Search › Georgia › 207RC0000X
Edward Distler, D.O
NPI 1891180352 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2409 N Patterson St Ste 310
Valdosta, GA 31602 - Phone
- (229) 433-8160
- Fax
- (229) 244-2707
- Clinicians at this address
- 18
Additional practice sites
- 1111 E Mcdowell Rd, Phoenix, AZ
Registry record
- Primary taxonomy
- 207RC0000X
207RC0000X
- Also registered as
- 207R00000X
- Licence states on file
- AZ, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia